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脊髓后索切断术后皮质脊髓束和背侧上行束华勒氏变性区域的胶质细胞和轴突反应。

Glial and axonal responses in areas of Wallerian degeneration of the corticospinal and dorsal ascending tracts after spinal cord dorsal funiculotomy.

作者信息

Wang Li, Hu Bing, Wong Wai M, Lu Peihua, Wu Wutian, Xu Xiao-Ming

机构信息

Department of Neurobiology, Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

Neuropathology. 2009 Jun;29(3):230-41. doi: 10.1111/j.1440-1789.2008.00969.x. Epub 2008 Oct 20.

Abstract

Wallerian degeneration (WD), composed of the breakdown and phagocytosis of damaged axons and their myelin sheaths distal to the injury, is a major sequela of spinal cord injury (SCI). To understand the microenvironment within WD that may affect repair following SCI, we investigated the fate of major glial types and axons in this region following acute (1 h), subacute (10 days), and chronic (30 days) dorsal funiculotomy at the eighth thoracic (T8) level. This lesion induces a confined WD in two distinct functional pathways, that is, the corticospinal tract (CST) and dorsal ascending tract (DAT) in opposite directions. Here we report that astrocytes, reactive microglia and macrophages were all significantly increased in areas of WD in both the CST and DAT at subacute and chronic stages compared to the sham-operated or acute stage. While the level of GFAP(+) astrocytes remained stable after the subacute stage, the number of OX-42(+) microglia and ED-1(+) macrophages markedly decreased at the chronic stage. Interestingly, a mild but significant increase in ED-1(+) macrophages was also found in the intact fiber tracts 3 mm proximal to the injury at the chronic stage, coinciding with axonal dieback observed at that level. Axons distal to the injury experienced a continued and prolonged degeneration in both fiber tracts. Finally, although a significant decrease of Olig2(+) oligodendrocyte lineage (OL) cells was found in areas of WD, the presence of these cells at the chronic stage indicates that they are available for endogenous repair. Taken together, our data have provided spatiotemporal evidence for the dynamic pathogenic changes of major cellular components in areas of WD remote to an SCI. Information obtained in this study should be useful for designing experiments aimed at modifying this region to accommodate endogenous or exogenous repair following SCI.

摘要

华勒氏变性(WD)是脊髓损伤(SCI)的主要后遗症,其特征是损伤远端的受损轴突及其髓鞘发生崩解和吞噬。为了解WD内可能影响SCI后修复的微环境,我们研究了在第八胸椎(T8)水平进行急性(1小时)、亚急性(10天)和慢性(30天)背侧索切断术后,该区域主要神经胶质细胞类型和轴突的命运。此损伤在两个不同的功能通路中诱导局限性WD,即皮质脊髓束(CST)和背侧上行束(DAT),且方向相反。我们在此报告,与假手术组或急性期相比,亚急性和慢性期CST和DAT中WD区域的星形胶质细胞、反应性小胶质细胞和巨噬细胞均显著增加。虽然亚急性期后GFAP(+)星形胶质细胞水平保持稳定,但慢性期OX-42(+)小胶质细胞和ED-1(+)巨噬细胞数量明显减少。有趣的是,在慢性期损伤近端3毫米处的完整纤维束中也发现ED-1(+)巨噬细胞有轻度但显著的增加,这与该水平观察到的轴突回缩一致。损伤远端的轴突在两个纤维束中都经历了持续且延长的变性。最后,虽然在WD区域发现Olig2(+)少突胶质细胞谱系(OL)细胞显著减少,但这些细胞在慢性期的存在表明它们可用于内源性修复。综上所述,我们的数据为远离SCI的WD区域主要细胞成分的动态致病变化提供了时空证据。本研究获得的信息应有助于设计旨在改变该区域以适应SCI后内源性或外源性修复的实验。

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